- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $108.15 / $330.62
| Facility | | $9.22 | $108.15 | $330.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $9.93 / $13.86
| Professional | | $6.93 | $9.93 | $13.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $8.02 / $11.55
| Professional | | $5.54 | $8.02 | $11.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.50 / $36.36 / $69.06
| Facility | | $12.50 | $36.36 | $69.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.12 / $9.24
| Professional | | $5.00 | $6.12 | $9.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.40 / $15.59 / $104.00
| Facility | | $10.40 | $15.59 | $104.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $11.46 / $17.32
| Professional | | $8.66 | $11.46 | $17.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.55 / $12.13 / $12.13
| Facility | | $11.55 | $12.13 | $12.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.07 / $25.38 / $58.16
| Facility | | $8.07 | $25.38 | $58.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $9.68 / $19.69
| Professional | | $6.63 | $9.68 | $19.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.31 / $77.95 / $77.95
| Facility | | $61.31 | $77.95 | $77.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $11.55 / $121.10
| Facility | | $8.77 | $11.55 | $121.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.40 / $11.55 / $15.05
| Professional | | $10.40 | $11.55 | $15.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,238.31 / $1,763.67 / $3,126.94
| Facility | | $1,238.31 | $1,763.67 | $3,126.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $11.55 / $26.68
| Facility | | $8.77 | $11.55 | $26.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $11.00 / $18.98
| Professional | | $6.63 | $11.00 | $18.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.61 / $7.73
| Professional | | $4.84 | $6.61 | $7.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.70 / $11.55
| Professional | | $4.50 | $5.70 | $11.55 |